SOCKET SHIELD PROCEDURE Tooth split supra gingivally and

TECHNIQUE crown fragment is removed.

– A GUARD ADVANTAGES:
 Minimally invasive procedure
HURZLER ET AL 2010 1  Preserve the root – maintaining hard
Root divided as 1:3 and 2:3
tissues & soft tissue contour
ratio using long shank root  No grafting required
a. Unrestorable crown resection bur  Decreased treatment duration
 Maintains tooth esthetics
I b. Tooth with or without 2
N periapical pathology
D
c. Immediate implant Palatal 2/3rd root is removed.
I
placement Width of buccal shield retained
C
is 1.5-2mm
A d. Preserves the ridge – by
T
preventing the buccal 3 DISADVANTAGES:
I
O collapse • Technically sensitive
• Displacement of buccal root fragment
N
The height of buccal shield is • Long term results – not available

C
reduced to alveolar crest level
O a. Mobile teeth and S-shaped bevel given.
N
b. Large periapical
4
T
R pathology COMPLICATIONS:
A  Implant failure
I c. Teeth out of arch  Infection
N Implant placed with optimum  Exposure of socket shield
D d. Vertical root fracture gap of 1.5mm from the shield.  Mobility of socket shield
I
e. Bisphosphonates >3mm gap – grafting done  Migration of the buccal
C
A
5 fragment
T f. Radiation therapy
I
O g. Anti coagulant therapy
N
6
Restored with crown RESHMAA.R – PG 1ST YEAR